Sheri Meairs

Escape Plan Travels LLC

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="Traveler Info"/>&#13;
		<field type="text" required="true" label="What Trip do you want to book?" name="what-trip-do-you-want-to-book" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Travel Date" name="travel-date" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Names and Birthdates of Travelers as on Passports" name="names-and-birthdates-of-travelers-as-on-passports" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else you would like us to know?" name="anything-else-you-would-like-us-to-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>